James Midda

193 posts

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James Midda

James Midda

@JamesMidda

ED nurse, interests in simulation and education, particularly in students and preceptees.

Katılım Ekim 2019
723 Takip Edilen225 Takipçiler
James Midda
James Midda@JamesMidda·
@RespiratoryUHP @matron_mike @harrietsarahhh Hello :) we are looking to upskill some of our senior nursing staff in ED to do ABGs also. Would you consider sharing your training material and competency packs to save reinventing the wheel and to ensure consistency in the Peninsula? :)
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Aeysha Harley
Aeysha Harley@RespiratoryUHP·
Supporting and upskilling our Junior sisters across respiratory in being competent in completing arterial blood gasses. A vital skill for our critically unwell patients 🩸 💉 🫁 @matron_mike @harrietsarahhh
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James Midda
James Midda@JamesMidda·
@RNChristinaH Nice! We have a HCA holding a bleep that reception will activate when booking a patient in which is helpful too
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Christina Harrison
Christina Harrison@RNChristinaH·
As part of an improvement initiative to improve time to ECG for patients presenting with chest pain for early recognition of a STEMI within 10mins, we are trialling a priority ECG seat for visual recognition to perform an ECG on arrival
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Cliff Reid
Cliff Reid@cliffreid·
The iGel is a great supraglottic airway device But like other supraglottic airway devices (SAD) it's not foolproof Here's how to maximise your success with the iGel - a thread 🧵
GIF
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Ian Higginson 🌈
Ian Higginson 🌈@RCEM_VP·
Hearing that ED teams are under direct and at times unreasonable pressure to achieve NHSE's articifically low 4-hour standard. This is currently set at 76%. We risk hitting new lows in terms of crowding, and behaviours, in the face of sustained pressure on EDs. @RCollEM 1/3
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James Midda
James Midda@JamesMidda·
@blacksladder I’ll check it out, thanks Els! Paramedics and all AHPs were involved in our job advert. 1x ODP took the bait so far and we’re currently fully staffed but will absolutely include all when we next recruit. Lovely to hear from you!
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James Midda
James Midda@JamesMidda·
ED hive mind: we have a relatively new group of Resus Practitioners (RN/ODPs at present), senior staff who have enhanced skills and maintain training and standards in our Resus. Who else has this role and would be willing to share some training portfolio/requirements etc?!
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James Midda
James Midda@JamesMidda·
@RNChristinaH We do the same for all our registered staff, we’re just developing this role for senior staff with enhanced airway, anaesthetic and trauma skills to support junior colleagues and assure quality in our resus :)
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Christina Harrison
Christina Harrison@RNChristinaH·
@JamesMidda There’s the ED RCN competency booklet we use. In addition we hold a resus study day and PTN Trauma Course.
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James Midda
James Midda@JamesMidda·
@ed_itu Been hoping to get a rotation going for a while so hopefully this will help pave the way too! Thanks for sharing :)
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SJ
SJ@ed_itu·
@JamesMidda Good luck with that! It’s not easy which is why we started a 3mth round rotation between ED & ITU. In my many yrs of experience the success of this is 90% cultural….but Thats nursing for you, sadly
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James Midda
James Midda@JamesMidda·
@ed_itu Totally, next challenge is getting the two to play nicely! If you have a skills log or anything of that sort from your previous life that you’d be happy to share, that would be amazing :)
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SJ
SJ@ed_itu·
@JamesMidda I went from ITU B7 to ED B6. My role was only resus (til I was ED B7) to upskill ED RNs in Crit care. ITU nurses recruited with me didn’t stay but I loved it. The challenge was adapting Crit Care skills to ED, culturally ITU & ED are worlds apart
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James Midda
James Midda@JamesMidda·
@drkeithsiau @MarkBagnallSurg For what it’s worth I’ll be your NIC in ED those nights so see you at the coal-face and hope that I meet the bill! Thanks in advance for your help in supporting our colleagues and keeping our patients safe!
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Keith Siau
Keith Siau@drkeithsiau·
@MarkBagnallSurg Will be relying on nurses more than ever! I hope we have good colleagues to work with!
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Keith Siau
Keith Siau@drkeithsiau·
Junior doctors have my full support to go on strike next week, but I also have a duty to ensure that the population of Cornwall is kept safe. This is why I will be going on medical nights in A&E this Monday. Wish me luck and hope I can still use my stethoscope!
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James Midda
James Midda@JamesMidda·
@d_w_connor Headed to Bali in August, Dave. Any other recommendations on dive sites/shops?!
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David Connor
David Connor@d_w_connor·
Annual leave mode!
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MyKitCheck
MyKitCheck@mykitcheck·
The amazing team over at @bthftresus are in the process of rolling out MyKitCheck and we couldn't be happier to assist them in their future. Going paperless is a big step and we are grateful you chose us to help you. #mykitcheck #medical #paperless
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James Midda
James Midda@JamesMidda·
@PaulR_ED @EducationDivB @UHSFT Oh absolutely, and on our staff too. It’s a sure fire way to make people feel undervalued and underconfident in their skills and abilities, when we’ve never needed to lean on them more!
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UHS Education Team - Division B
UHS Education Team - Division B@EducationDivB·
IN THREE WEEKS we will be running our FIRST advanced programme for senior Band 5s within @UHSFT Adult ED. A systems based programme with content delivered by the whole MDT & enhanced by a Level 7 Work Based Learning module with University of Southampton! #CPD #nursedevelopment
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Kaleb Lachenicht
Kaleb Lachenicht@epicEMC·
Reflections and lessons learned from my first surgical airway in 13 years of ALS practice: 1. The performance of the skill is the easy part, the decision to perform the skill is less easy. Make the decision NOW when the line will be drawn and stick to it IRL: CICO
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James Midda
James Midda@JamesMidda·
@BrokeKneeADHD As an ED perspective, any life support courses on we try to send students over for until their truck is released, and more than happy to have paramedic students in to observe but it needs clearance from the local trust and university for insurance reasons!
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Frances
Frances@FinalFantAerith·
I’ve been thinking about all the student paramedics who are sitting outside hospital for hours on end. Are they going to be able to complete their Practice Assessment Documents or practice their vital skills well enough to become competent paramedics? How can we support them?
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Keşfet

@RespiratoryUHP @matron_mike @harrietsarahhh @RNChristinaH @RCollEM @ed_itu @ashleighlowther @EDPractitioner